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Brundall Medical Partnership

The Medical Centre

The Dales
Norfolk NR13 5RP
Tel: (01603) 712255
Open Mon-Fri 8.30-6.30

Groups included in the national influenza immunisation programme




All patients aged 65 years and over

"Sixty-five and over" is defined as those aged 65 years and over on 31 March 2020 (i.e. born on or before 31 March 1955).


Chronic respiratory disease aged six months and over

Asthma that requires continuous or repeated use of inhaled or systemic steroids or with previous exacerbations requiring hospital admission.

Chronic obstructive pulmonary disease (COPD) including chronic bronchitis and emphysema; bronchiectasis, cystic fibrosis, interstitial lung fibrosis, pneumoconiosis and bronchopulmonary dysplasia (BPD).

Children who have previously been admitted to hospital for lower respiratory tract disease.


Chronic heart disease aged six months and over

Congenital heart disease, hypertension with cardiac complications, chronic heart failure, individuals requiring regular medication and/or follow-up for ischaemic heart disease.


Chronic kidney disease aged six months and over

Chronic kidney disease at stage 3, 4 or 5, chronic kidney failure, nephrotic syndrome, kidney transplantation.


Chronic liver disease aged six months and over

Cirrhosis, biliary atresia, chronic hepatitis.



Chronic neurological disease aged six months and over

Stroke, transient ischaemic attack (TIA). Conditions in which respiratory function may be compromised due to neurological disease (e.g. polio syndrome sufferers).

Clinicians should offer immunisation, based on individual assessment, to clinically vulnerable individuals including those with cerebral palsy, learning difficulties, multiple sclerosis and related or similar conditions; or hereditary and degenerative disease of the nervous system or muscles; or severe neurological disability.


Diabetes aged six months and over

Type 1 diabetes, type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet controlled diabetes.

Immunosuppression aged six months and over

Immunosuppression due to disease or treatment, including patients undergoing chemotherapy leading to immunosuppression, bone marrow transplant, HIV infection at all stages, multiple myeloma or genetic disorders


Asplenia or dysfunction of the spleen aged six months and over

This also includes conditions such as homozygous sickle cell disease and coeliac syndrome that may lead to splenic dysfunction.


Morbidly obese


Patients with a BMI >= 40.

Pregnant women

Pregnant women at any stage of pregnancy.


People in long-stay residential or homes

Vaccination is recommended for people living in long-stay residential care homes or other long-stay care facilities where rapid spread is likely to follow introduction of infection and cause high morbidity and mortality. 



Those who are in receipt of a carer’s allowance, or those who are the main carer of an elderly or disabled person.  (if the carer works and leaves the elderly or disabled person alone they do not qualify)




In addition to the standard flu vaccine the flu nasal vaccine for children is available this year for children aged 2 or 3 on 31st August 2019. 


  • If a child has their 2nd Birthday on or after 1st September 2019 they do not qualify. 
  • If a child has their 4th Birthday on or before 31st August 2019 they do not qualify. 


NO exceptions are permitted by the Government unless the child falls within the chronic disease categories below. 


The flu nasal vaccine for children is available for children aged up to 17 years old with the following conditions.  They may be booked into the child flu clinics:-


  • Asthma requiring continuous or repeated inhaler usage
  • Chronic heart disease
  • Diabetes
  • Immunosuppression


If a child has not had the child flu vaccination before AND is on the ‘at risk’ register (has a chronic disease – primarily asthma) they may require a follow up appointment at least 4 weeks later.  The nurse will advise the patient if a second appointment is required.  

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